Shady Acres, Inc.

NPI #1568783660 in Webster, Florida

Provider Information

NPI Number
1568783660
Entity Type
Organization
Organization Name
Shady Acres, Inc.
Primary Specialty
Assisted Living Facility
Enumeration Date
Jun 13, 2010
Last Updated
Jun 13, 2010

Practice Location

Address
670 CR 782
State
Florida
ZIP Code
33597-3512
Phone
(352) 568-0058

Authorized Official

Name
MISS BRENDA LEE LONG, RN
Title
ADMINISTRATOR
Phone
(352) 303-2827

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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